Leadership in a crisis: doing things differently, doing different things

Paixão, Graça; Mills, Chloe; McKimm, Judy; Hassanien, Mohammed; Al-Hayani, Abdulmonem

doi:10.12968/hmed.2020.0611

Cited by 14 publications

(10 citation statements)

References 19 publications

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“…[40][41][42][43][44][45] Crises are unexpected, unstructured, characterized by incomplete and conflicting information, and outside typical operational frameworks. 3,25,46 * The need for new approaches was evident in the emergence of five crisis-specific themes. Situational awareness is essential for developing strategies and making decisions during uncertainty.…”

Section: Innovationsmentioning

confidence: 99%

“…The onset of the COVID-19 pandemic threatened all aspects of academic family medicine (FM), 1 constituting a crisis. 2 It prompted multiple research articles on leadership, 1,3 FM management, [4][5][6][7][8][9] academic pivots, [10][11][12] and lessons learned, [13][14][15][16][17][18][19] but few have examined how these responses arose. 20 Our objective was to gain insight into the context and nature of FM leaders' discussions to address a crisis.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19: A Qualitative Analysis of Academic Family Physician Leaders’ Crisis Response

White

O’Brien

Cornacchi

et al. 2023

Fam Med

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Background and Objectives: The onset of the COVID-19 pandemic severely threatened all aspects of academic family medicine, constituting a crisis. Multiple publications have identified recommendations and documented the creative responses of primary care and academic organizations to address these challenges, but there is little research on how decisions came about. Our objective was to gain insight into the context, process, and nature of family medicine leaders’ discussions in pivoting to address a crisis. Methods: We used a qualitative descriptive design to explore new dimensions of existing concepts. The setting was the academic family medicine department at the University of Toronto. To identify leadership themes, we used the constant comparative method to analyze transcripts of monthly meetings of the departmental executive: three meetings immediately before and three following the declaration of a state emergency in Ontario. Results: Six themes were evident before and after the onset of the pandemic: building capacity in academic family medicine; developing leadership; advancing equity, diversity, and inclusion; learner safety and wellness; striving for excellence; and promoting a supportive and collegial environment. Five themes emerged as specific responses to the crisis: situational awareness; increased multidirectional communication; emotional awareness; innovation in education and patient care; and proactive planning for extended adaptation to the pandemic. Conclusion: Existing cultural and organizational approaches formed the foundation for the crisis response, while crisis-specific themes reflected skills and attitudes that are essential in clinical family medicine, including adapting to community needs, communication, and emotional awareness.

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Section: Innovationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19: A Qualitative Analysis of Academic Family Physician Leaders’ Crisis Response

White

O’Brien

Cornacchi

et al. 2023

Fam Med

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“…Interventional studies are also needed to see whether enhanced support from managers improves the mental health of health care workers. Furthermore, it would be interesting to investigate what support the managers have experienced during the pandemic, since their well-being is a prerequisite to be able to support the health care workers [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Health care workers’ need for support from managers during the initial phase of the COVID-19 pandemic

Skogsberg

Jarl

Matérne

2022

BMC Health Serv Res

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Background The COVID-19 pandemic placed great pressure on health care workers and increased the risk of these workers developing mental illness. Effective leadership is essential to prevent mental illness from developing. The study aim was to investigate health care workers’ perceptions of the support given by their managers, their need for such support, and their levels of anxiety during the initial phase of the COVID-19 pandemic. Methods An electronic study-specific questionnaire was sent to health care workers. A convergent mixed-methods design was used, in which data were analyzed with descriptive statistics, t-tests, and qualitative content analysis. Results The majority of the 1074 participants experienced support from a manager who was physically present, caring, and sensitive to their needs, who provided information, and listened to their opinions. Those who did not receive this support experienced more anxiety, and the majority of them expressed a need for this support. A minority of the participants had a manager who scheduled reflection time; few asked for this support, and it was not found to be associated with lower anxiety levels. The qualitative analysis resulted in four themes: 1) A physically present and responsive manager who provides support based on the workers’ needs, 2) The workers understand their manager’s tough work situation and lack of resources, 3) There is a need for clear dissemination of information and participation in organizing the work, and 4) The care of patients is carried out with good cooperation. Conclusions The majority of the health care workers received adequate support from their managers. A manager has to be physically present, caring, and supportive to meet the workers’ needs and potentially reduce anxiety levels.

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“…Face problems like acute patients, maintain the care standart, demand empathy, care for patients' families long-distance, deal with painful emotions, humanity, and priority. These give nurses strategies to adopt in decision-making (Paixão et al, 2020). It involves emotional intelligence from nurses (James & Bennet, 2020).…”

Section: Choose To Do the Bestmentioning

confidence: 99%

The Challenges of Intensive Care Unit Nurses Caring for COVID-19 Patients in Indonesia: A Qualitative Study

Mailani

Muthia

Huriani

et al. 2022

Nurs. Med. J. Nursing

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Background: After one year of the pandemic, Indonesia experienced a crisis where the addition of COVID-19 cases increased significantly in several big cities; it made the healthcare system collapse, including the intensive care unit (ICU) service for COVID-19. ICU nurses, who are at the frontline of fighting against COVID-19 and defusing this crisis, are faced with various challenges in providing care for COVID-19 patients, and exploring such challenges are significant. Purpose: This study aimed to explore the challenges experienced by Indonesian nurses who work in the ICU caring for COVID-19 patients.Methods: A multi-centered-qualitative study with a descriptive phenomenological design was used. Twenty nurses working in the ICU of COVID-19 in eight COVID-19 referral hospitals in seven major cities in Indonesia were recruited using purposive sampling. Semi-structured individual video call interviews were conducted to collect the data from July-September 2021. Data were analyzed using Colaizzi’s (1978) method.Results: The nurses reported the challenges throughout caring for COVID-19 patients in ICU, which are described in four major themes: (a) working under pressure and moral distress, (b) choosing to do the best, (c) adaptation, learning, and research, and (e) survive physically and mentally healthy.Conclusion: This study describes the challenges experienced by nurses working in ICUs during the COVID-19 crisis, such as working under pressure, facing dilemmas caring for patients, and trying to survive working in inadequate professional conditions. An in-depth understanding of these challenges in the current pandemic can help managers in the hospital to provide psychological support, adequate training for ICU nurses, and high-quality protocols for upcoming emergency scenarios, as well as maximizing resource management (human and material).

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Leadership in a crisis: doing things differently, doing different things

Cited by 14 publications

References 19 publications

COVID-19: A Qualitative Analysis of Academic Family Physician Leaders’ Crisis Response

COVID-19: A Qualitative Analysis of Academic Family Physician Leaders’ Crisis Response

Health care workers’ need for support from managers during the initial phase of the COVID-19 pandemic

The Challenges of Intensive Care Unit Nurses Caring for COVID-19 Patients in Indonesia: A Qualitative Study

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